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A 360-degree extraction socket classification for immediate dentoalveolar restoration
José Carlos Martins da Rosa, Ariádene Cristina Pértile de Oliveira Rosa, Luis Antonio Violin Dias Pereira
Background:
Clinicians are often faced with changes in socket anatomy after tooth extraction. Extraction socket management can be challenging, particularly in the aesthetic zone. Before an implant-based treatment can be proposed, a detailed diagnosis of the defect type must be made and a treatment plan developed accordingly to ensure the long-term stability of peri-implant tissues.
Materials And Methods:
The present authors developed a new extraction socket classification and associated recommendations for planning and execution of immediate dentoalveolar restoration.
Results:
The classification is based on six criteria: the bony anatomy of the 360-degree socket, socket health, facial gingival recession, periodontal biotype, bone density and apical height of the remaining bone. These criteria guide immediate dentoalveolar restoration planning so an optimal peri-implant tissue structure and aesthetic outcome can be achieved, and enabled long-term resolution in a complex clinical case.
Conclusions:
When planning post-extraction treatment that is effective and predictable in the long term, 360-degree anatomical classification of the extraction socket must be performed to ensure that the treatment is proportional to the socket and surrounding soft tissue damage.
Conflict-Of-Interest Statement:
The authors declare there are no conflicts of interest relating to this study.
